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Specialized Clotting Test for Antiphospholipid Antibodies

New Jersey rates for HCPCS 85597

This is a specialized blood clotting test used to help confirm the presence of a lupus anticoagulant, an antibody that interferes with normal blood clotting tests and is linked to an increased risk of abnormal blood clots. It is typically ordered as part of a broader workup when this kind of antibody is suspected.

Rates data updated October 2026.

How much does Specialized Clotting Test for Antiphospholipid Antibodies cost?

$13.80

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $40.74 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.59$12.30 to $15.14
FacilityA hospital or hospital-owned outpatient department$40.74$16.22 to $83.18

How much rates vary

Facilitymedian $41 · 10th to 90th $14 to $1,148Professionalmedian $13 · 10th to 90th $10 to $20
$10$50$200$1Kfacility $41professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$13.80
Median
$16.22
Typical High
$26.92
Aetna
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$13.80
Typical High
$20.89
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$6.92
Median
$6.92
Typical High
$10.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.75
Median
$2.75
Typical High
$4.17
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$154.88
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$17.38
Median
$39.81
Typical High
$87.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$17.38
Typical High
$36.31
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$7.24
Median
$8.91
Typical High
$20.42
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$16.60
Median
$17.78
Typical High
$151.36
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
United
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
United
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$10.72
Typical High
$15.14

Where New Jersey sits

The same service costs 6.2 times more in Kansas than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 48th of 51

$13.80

KS $46.77AL $7.59

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.